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The EDIEngine Payer solution enables small to medium size payers to become HIPAA compliant
rapidly and interfaces with their existing systems seamlessly. The solutions offered
also interface with their existing adjudication systems. This interfacing may need additional
custom programming.

The main features of this solution are:

• Ready made interface that processes all 9 HIPAA transaction sets
• Perform L1 & L2, L3 validation
• Dynamic 997 Functional Acknowledgements
• Modules for customizing and performing data edits and business rules
• Support for legacy format transformations
• Audit trail and a reports module
• Ability to generate delayed payer report
• Custom built Payer adjudication interfaces
• Additional features can be built on demand